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Ground Zero Analysis, Inc. <br />HEALTH AND SAFETY PLAN <br />Additional page for Chemical or Physical Hazards noted on-site and not discussed in the Health and <br />Safety Plan. <br />Chemical Hazards <br />Task(s) <br />Chemical <br />PEUCeiling/IDLH <br />(soil, water, air, etc.) <br />Known <br />Concentration <br />Signs/Symptoms <br />Physical Hazards <br />Task(s) Hazard Mitigation Measures <br />Notes <br />Date/Time Personnel Comments/Issues <br />PAGE 13 <br />